Facility profile · CCN 265767
Lutheran Senior Services At Breeze Park
16 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $41,347.
Record summary
Federal record · Q1 202616
Total citations
5
Last 3 years
2
Actual harm+
1
Federal penalties
$41,347
Total fines
4
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
16 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 5, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Mar 7, 2024 | F909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Standard |
| Mar 7, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 7, 2024 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Mar 7, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Jun 17, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jun 17, 2022 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Jun 17, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jun 17, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Jun 17, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Oct 11, 2019 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Oct 11, 2019 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| Oct 11, 2019 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard |
| Oct 11, 2019 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Oct 11, 2019 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Oct 11, 2019 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $41,347 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Dec 5, 2024 | Fine | $41,347 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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